Individual provider Active NPI

Michelle Moses, LCSW

  • Clinical Social Worker
  • Glendale, AZ
National Provider Identifier
1225874415
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20068 Issued in AZ
Practice address
20325 N 51St Ave Ste 168
Glendale, AZ 85308-4624
Phone
(844) 385-3747
Fax
(480) 462-2801
NPI assigned
Jul 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20068 AZ Primary

Addresses

Primary practice location

20325 N 51St Ave Ste 168
Glendale, AZ 85308-4624

Mailing address

26557 W Taro Dr
Buckeye, AZ 85396-5788
Phone (949) 412-4164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20068AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond W Lemberg PHD PC Clinical CurrentSince Jul 21, 2024 Accepting new patients
Lisn Limited Liability Company Clinical CurrentSince Oct 22, 2024 Accepting new patients

Locations

20325 N 51st Ave
Ste 168
Glendale, AZ 85308
Phone (480) 801-2985

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1225874415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26557 W TARO DR",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853965788",
            "telephone_number": "949-412-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20325 N 51ST AVE STE 168",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084624",
            "telephone_number": "844-385-3747",
            "fax_number": "480-462-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "20068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.